LEISURE ECONOMIC ACCESS PASS

Print and fill out this Leap Form to apply or apply online using the form below.

WHAT IS LEAP?

The City of Nanaimo LEAP program supports families in financial need to access Parks, Recreation and Culture programs and services.

WHAT CAN LEAP BE USED FOR?

50 free admissions per year per person for drop-in swimming, skating, weight rooms and drop-in gymnasium programs per year
50% off registered programs (maximum up to $40) for all family members up to four times per year per person
Free admission to Nanaimo Art Gallery and Nanaimo Museum

DO I QUALIFY AND HOW DO I APPLY FOR LEAP?

Resident of City of Nanaimo, District of Lantzville or Regional District of Nanaimo Electoral Areas A, B or C
There are now 6 different ways to prove financial need in order to qualify for LEAP:

1. I receive Income Assistance (or disability assistance) from the Province of BC or Government of Canada	Show confirmation of assistance at the front desk with your application form, such as MHSD stub; notice of deposit; or benefit statement (recent within the last 3 months).
2. I receive Seniors GIS benefits from the Federal Government	Show confirmation letter from Service Canada or cheque stub at the front desk with your application form.
3. I am a CLBC client and am approved for their support	Bring in proof of CLBC support to show at the front desk along with your completed application form.
4. I am a Child or Youth in Care	Please have your social worker or guardianship worker contact us directly to have LEAP passes issues for CYIC at registration@nanaimo.ca
5. I am a Newcomer/Refugee entering Canada through the refugee protection (asylum), a refugee sponsorship agreement or resettlement assistance program.	Show emergency travel documents, such as CUAET (Canada-Ukraine Authorization for Emergency Travel) or RAP agreement at the front desk with your application form.
6. None of the above apply	Attach your Notice of Assessment from prior tax year for each adult in the family with your application form online at www.nanaimo.ca or in person at the front desk*

*To qualify for LEAP with a Notice of Assessment, the family household income must be below the Statistics Canada Low Income Guidelines (see able below).

Please note: Post secondary students are not eligible for LEAP.

Number of People in Household	Annual Household Income
1	$23,696
2	$24,498
3	$36,265
4	$44,031
5	$49,938
6	$56,323
7	$62,707

CANADIAN TIRE JUMPSTART PROGRAM (not part of the LEAP program; funding is through Canadian Tire Jumpstart)

Apply for funding through the Canadian Tire Jumpstart program. Your child may be eligible for up to $600 per year in funding. Apply for the Jumpstart program today. (Please note that this application on this web page is for LEAP and not an application for the Jumpstart program. The Jumpstart program is a separate application process not managed by the City of Nanaimo.)

First and Last Name of Main Contact

Address

Postal Code

Phone Number

Alternate Phone Number

Family Members / Dependants:

Please provide the names, date of birth of each family member / dependant. If they have an annual income, please provide their total annual income (line 150 on their Notice of Assessment). If applying by way of other financial need, upload the appropriate documentation below.

Dependant #1 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #2 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #3 (if applicable)

Last Name

First Name

Date of Birth

Line 150

Dependant #4 (if applicable)

Last Name

First Name

Date of Birth

Line 150 or other applicable proof of need

Dependant #5 (if applicable)

Last Name

First Name

Date of Birth

Line 150 Line 150 or other applicable proof of need

Dependant #6 (if applicable)

Last Name

First Name

Date of Birth

Line 150 Line 150 or other applicable proof of need

Dependant #7 (if applicable)

Last Name

First Name

Date of Birth

Line 150 Line 150 or other applicable proof of need

Dependant #8 (if applicable)

Last Name

First Name

Date of Birth

Line 150 Line 150 or other applicable proof of need

Upload copy of Photo Identification for Main Contact and any other adults on this application (showing current address)

Add another

Total

Upload copy of Notice of Assessment or other applicable proof of need

Upload copy of Notice of Assessment for Other Family Member (if applicable)

By clicking here, I am declaring that the information provided on this form is true. I understand that my LEAP privileges will be cancelled if the information submitted is discovered to be false.

I DECLARE THAT THE INFORMATION PROVIDED ON THIS FORM IS TRUE AND THAT I AM THE PERSON (MAIN CONTACT) APPLYING FOR THE LEAP PROGRAM FOR ME AND/OR FAMILY MEMBERS.

Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA. Questions about the collection of your personal information may be referred to the Legislative Services Department at 250-755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.

Last updated: September 3, 2024

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